Individual
DAKOTA E VIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
321 BUTTS AVE, TOMAH, WI 54660-1412
(608) 374-0330
Mailing address
321 BUTTS AVE, TOMAH, WI 54660-1412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6454-26
WI
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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